Individual
GINA JUDITH PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1814 E FRIER DR UNIT 3, PHOENIX, AZ 85020-7633
(602) 578-8834
(602) 916-1655
Mailing address
1814 E FRIER DR UNIT 3, PHOENIX, AZ 85020-7633
(602) 578-8834
(602) 916-1655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
293225
AZ
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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